An Overview of Pre-expanded Perforator Flaps: Part 1, Current Concepts

Chunmei Wang, Sifen Yang, Jing Zhang, Lun Yan, Ping Song, Hiko Hyakusoku, Lee Li-Qun Pu

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


Pre-expanded perforator flaps, a combination of tissue expansion with perforator flaps, are emerging as another landmark of plastic surgery. This flap inherits the characteristics of both perforator flaps and expanded flaps, making it a highly versatile option in reconstructive surgery. However, the definition of the pre-expanded perforator flap and the impact of pre-expansion on the superficial angio-architecture remain controversial. In this article, the authors review current concepts including the mechanism of expansion and the resultant changes in the angio-architecture. The authors also review the previous studies and classifications of pre-expanded perforator flaps.

Original languageEnglish (US)
Pages (from-to)1-11
Number of pages11
JournalClinics in Plastic Surgery
Issue number1
StatePublished - Jan 1 2017


  • Perforator flaps
  • Pre-expanded perforator flaps
  • Pre-expansion
  • Pre-fabrication
  • Skin flaps

ASJC Scopus subject areas

  • Surgery


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